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Providence Health Plan fax number

(503) 574-8621

Office of Financial Transparency (OFT)

Used for: Submitting the Providence Health Plan 'Other Medical Insurance Coverage Questionnaire' to report other medical coverage.

Fax destination details

Department
Office of Financial Transparency (OFT)
Purpose
Submitting the Providence Health Plan 'Other Medical Insurance Coverage Questionnaire' to report other medical coverage.
Form
Providence Other Medical Insurance Coverage Questionnaire — Providence Other Medical Insurance Coverage Questionnaire
Address
3601 SW Murray Blvd, Beaverton, OR 97005

Before you send

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  • Check the organization website or call its main line for the current fax number.
  • Include a cover sheet and any case, member, claim, or form reference required.
  • Keep the delivery confirmation with your submission records.

Complete the form and return via Online: http://www.myprovidence.com -> My Health Plan -> Additional Insurance Form; Email: phpcobletter@providence.org with your Member ID in the subject line; Mail: 3601 SW Murray Blvd, Beaverton, OR 97005 Attn: OFT; Fax: 503-574-8621.

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